Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $39.10 / $39.10 / $48.87	Facility	26	$39.10	$39.10	$48.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.15 / $195.27 / $333.20	Professional		$173.15	$195.27	$333.20
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.47 / $39.10 / $119.93	Professional	26	$21.47	$39.10	$119.93
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $151.80 / $162.49 / $252.87	Professional	TC	$151.80	$162.49	$252.87
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $176.15 / $176.15 / $176.15	Professional		$176.15	$176.15	$176.15
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $28.51 / $62.85 / $62.85	Professional	26	$28.51	$62.85	$62.85
BCBS Facility/Professional Professional Modifier Low / Median / High Price $176.15 / $225.78 / $371.57	Professional		$176.15	$225.78	$371.57
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $35.11 / $45.00 / $73.50	Professional	26	$35.11	$45.00	$73.50
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $141.04 / $180.32 / $298.07	Professional	TC	$141.04	$180.32	$298.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $201.71 / $248.17 / $401.48	Professional		$201.71	$248.17	$401.48
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.49 / $38.82 / $73.81	Professional	26	$24.49	$38.82	$73.81
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $161.59 / $217.01 / $335.60	Professional	TC	$161.59	$217.01	$335.60
Medcost Facility/Professional Facility Modifier 26 Low / Median / High Price $24.38 / $41.00 / $81.98	Facility	26	$24.38	$41.00	$81.98
Medcost Facility/Professional Professional Modifier Low / Median / High Price $703.98 / $703.98 / $703.98	Professional		$703.98	$703.98	$703.98
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $139.62 / $139.62 / $139.62	Professional	26	$139.62	$139.62	$139.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $44.14 / $186.10 / $292.35	Professional		$44.14	$186.10	$292.35
United Facility/Professional Professional Modifier Low / Median / High Price $183.05 / $223.75 / $367.92	Professional		$183.05	$223.75	$367.92
United Facility/Professional Professional Modifier 26 Low / Median / High Price $22.28 / $38.20 / $62.36	Professional	26	$22.28	$38.20	$62.36
United Facility/Professional Professional Modifier TC Low / Median / High Price $149.94 / $203.19 / $322.89	Professional	TC	$149.94	$203.19	$322.89